| NPI | 1295021384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 39327) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60224802) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2012-10-31 |